go back

Indiana rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.74 / $3,075.62 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.19 / $1,258.07 / $1,421.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.56 / $1,223.20 / $1,647.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.55 / $1,522.89 / $2,303.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.55 / $1,421.94 / $2,047.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $798.00 / $2,126.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.72 / $1,326.81 / $2,139.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,818.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.33 / $1,352.06 / $2,252.73